Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaelan Nathan Chan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083364111

Kaelan Nathan Chan is a Student in an Organized Health Care Education/Training Program in Riverside, California. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4445 Magnolia Ave
Riverside, CA 92501-4199
Phone: (951) 788-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1083364111
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 23, 2022
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022
Mailing address4445 Magnolia Ave, Riverside, CA 92501-4199

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